Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
DOPAMINE IN 5 % DEXTROSE 200 MG/250 ML (800 MCG/ML) INTRAVENOUS SOLN [100088]
Arlington, TX
See all hospitals reporting HCPCS J1265 →Price type
AMH Cath Labs LLC’s median price of $29 is 193% above the median hospital's median price ($10), higher than 66% of the 2,229 hospitals reporting HCPCS J1265. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield hmo fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Blue Cross Blue Shield exchange fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Blue Cross Blue Shield ppo fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Blue Cross Blue Shield traditional fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 5 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $6 | $6 | $3 | 49% | — | $1 – $9 |
| 6 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $6 | $6 | $3 | 49% | — | $1 – $9 |
| 7 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $6 | $6 | $3 | 49% | — | $1 – $9 |
| 8 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $6 | $6 | $3 | 49% | — | $1 – $9 |
| 9 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $6 | $6 | $3 | 49% | — | $1 – $9 |
| 10 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $22 | $22 | $11 | 49% | — | $5 – $33 |
| 11 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $27 | $26 | $13 | 49% | — | $6 – $40 |
| 12 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $30 | $29 | $14 | 49% | — | $7 – $44 |
| 13 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $33 | $33 | $16 | 49% | — | $8 – $50 |
| 14 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $35 | $35 | $17 | 49% | — | $8 – $53 |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $35 | $35 | $17 | 49% | — | $8 – $53 |
| 16 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $36 | $35 | $17 | 49% | — | $8 – $53 |
| 17 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $45 | $44 | $21 | 49% | — | $10 – $67 |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $45 | $44 | $22 | 49% | — | $10 – $67 |
| 19 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $45 | $44 | $22 | 49% | — | $11 – $67 |
| 20 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $45 | $44 | $22 | 49% | — | $11 – $67 |
| 21 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $48 | $47 | $23 | 49% | — | $11 – $72 |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $56 | $55 | $27 | 49% | — | $13 – $84 |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $56 | $55 | $27 | 49% | — | $13 – $84 |
| 24 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $61 | $60 | $29 | 49% | — | $14 – $91 |
| 25 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $61 | $60 | $29 | 49% | — | $14 – $91 |
Last updated: Apr 21, 2026
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